Organization
WACO GASTROENTEROLOGY ASSOCIATES
Active
Organization
WACO GASTROENTEROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KACY BAITZ (ADMINISTRATOR)
(254) 537-0911
Entity
Organization
Contact information
Practice address
364 RICHLAND WEST CIR, SUITE A, WACO, TX 76712-7919
(254) 537-0911
(254) 537-0313
Mailing address
364 RICHLAND WEST CIR, SUITE A, WACO, TX 76712-7919
(254) 537-0911
(254) 537-0313
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207ZC0006X
Clinical Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081724901
—
TX
Enumeration date
05/11/2006
Last updated
02/29/2024
Update your record
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